Individual
JENIFER MARY HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
37 N BROADWAY ST, AKRON, OH 44308-1910
(330) 535-8181
Mailing address
6931 MIDDLEBRANCH AVE NE, CANTON, OH 44721-2637
(330) 354-9286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900634
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098340
—
OH
Enumeration date
09/24/2010
Last updated
02/24/2013
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